3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The two most recent health assessment on file for Staff Person #2 are dated 6/17/22 and 7/2/24, for Staff Person #3 are dated 2/27/23 and 5/29/25 and for Staff Person #4 are dated 7/28/21 and 8/1/23, which are all more than 24 months apart.

Corrected Corrected by Jun 17, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The two most recent Child Abuse Clearances on file for Staff Person #1 are dated 3/25/20 and 5/28/25 which are more than 60 months apart. The two most recent NSOR Certificates for Staff Person #4 are dated 12/23/19 and 12/27/24 which are more than 60 months apart.

Corrected Corrected by Jun 17, 2025

Category: background checks. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

It was observed that a first aid kit that was in the indoor gym was on a low shelf in the bathroom making it accessible to the children.

Corrected Corrected by Jun 18, 2025

Category: health medication. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

It was observed that there was a loose piece of trim on the floor in the Preschool room that could be a tripping hazard. It was observed that there was rust on the divider walls in the bathrooms on the main level of the facility.

Corrected Corrected by Jun 23, 2025

Category: physical safety. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

It was observed that a staff used a baby wipe to wipe the hands of a toddler after diaper changing.

Corrected Corrected by Jun 17, 2025

Category: health medication. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Based on a self-report, as parents began to pick up their children, at approximately 4:10 pm, child #1 exited the preschool classroom. Staff #1 was assigned supervision of Child #1. Staff person #1 and #2 were in the preschool room at that time. Neither staff noticed child #1 exit the room. There were no other staff in the hallway with child #1. Child #1 was alone in the hallway for approximately 5 minutes.

Corrected Corrected by Feb 19, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Based on a self-report, as parents began to pick up their children, at approximately 4:10 pm, child #1 exited the preschool classroom. Staff #1 was assigned supervision of Child #1. Staff person #1 and #2 were in the preschool room at that time. Neither staff noticed child #1 exit the room. There were no other staff in the hallway with child #1. Child #1 was alone in the hallway for approximately 5 minutes.

Corrected Corrected by Feb 21, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Based on a self-report, as parents began to pick up their children, at approximately 4:10 pm, child #1 exited the preschool classroom. Staff #1 was assigned supervision of Child #1. Staff person #1 and #2 were in the preschool room at that time. Neither staff noticed child #1 exit the room. There were no other staff in the hallway with child #1. Child #1 was alone in the hallway for approximately 5 minutes.

Corrected Corrected by Feb 19, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff Person #5 includes verification of Pediatric First Aid/CPR training dated 5/22/24, after the expiration date of 1/31/24.

Corrected Corrected by Jun 6, 2024

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #4 includes State Police Clearances dated 8/29/17 and 10/3/22 and Child Abuse Clearances dated 9/6/17 and 10/3/22 all which are more than 60 months apart.

Corrected Corrected by Jun 6, 2024

Category: background checks. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The two most recent mandated reporter training certificates on file for Staff Person #2 are dated 5/13/19 and 5/22/24, which are more than 60 months apart.

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

It was observed that a bottle of cleaning disinfectant spray was on the same shelf as the children's diapers in the upper toddler bathroom cabinet in Room #14.

Corrected Corrected by Jun 6, 2024

Category: ratio. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

It was observed that there wasn't a handwashing sign at one of the sinks in the right bathroom near the downstairs kitchen area.

Corrected Corrected by Jun 6, 2024

Category: health medication. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the preschool room #6 there were foam blocks with teeth marks that were not in good repair. .

Corrected Corrected by Jun 6, 2024

Category: physical safety. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The two most recent health assessments on file for Staff Person #1 were dated 4/26/22 and 5/23/24, more than 24 months apart.

Corrected Corrected by Jun 6, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The current health assessment for Staff Person #3 indicates that the staff person has a communicable/contagious disease, with not additional information given.

Corrected Corrected by Jun 6, 2024

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The Health and Safety 1 hour update training on file for Staff #2 was dated 5/28/23, Staff #3 was dated 1/20/23, Staff #6 was dated 5/9/23, and Staff #7 was dated 6/2/23, were all dated after the deadline date of 12/30/22.

Corrected Corrected by Jun 21, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The State Police Clearance on file for Staff #1 lacked a dissemination date. The file for Staff #5 contained a current State Police Clearance dated 2/16/23 with a previous one dated 11/2/17, a current Child Abuse Clearance dated 2/22/23 and a previous one dated 11/8/17, and a current FBI Clearance dated 3/1/23 with a previous one dated 11/7/17 which were all greater than 60 months in between.

Corrected Corrected by Jun 21, 2023

Category: background checks. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There were uncovered outlet receptacles on the wall outlets in the gross motor room which were accessible to the young toddler children in care.

Corrected Corrected by Jun 21, 2023

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

On the table in the entrance of the facility there was a dwarf umbrella tree plant, and a little jewel plant was on the windowsill in the school age (room #10) which were both listed as toxic to humans.

Corrected Corrected by Jun 21, 2023

Category: physical safety. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

The garbage can next to the sink across from the copier downstairs did not have a lid. It was observed that there were used tissues and used paper cups in the garbage can.

Corrected Corrected by Jun 21, 2023

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit in room #6 only contained 1 adhesive bandage.

Corrected Corrected by Jun 21, 2023

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In room #6, which was unoccupied at time of inspection, there was a sharp edge on the corner of the sink.

Corrected Corrected by Jun 21, 2023

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

The bathroom next to the infant room had chipping paint on the wall above the toilet.

Corrected Corrected by Jun 21, 2023

Category: physical safety. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the downstairs PK7 (room #8) there was a crack on the corner of the red bin in the kitchen playset.

Corrected Corrected by Jun 21, 2023

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In room #14 (older toddler room) there were foam blocks with teeth marks and pieces missing.

Corrected Corrected by Jun 21, 2023

Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in room #3 contained a sticky substance on the lower shelf.

Corrected Corrected by Jun 21, 2023

Category: nutrition. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff #2 only contained one reference from a nonfamily individual.

Corrected Corrected by Jun 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The annual emergency drill log lacked information addressing any problems encountered or observations that occurred during the drill.

Corrected Corrected by Jun 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff #4 was lacking documentation of 12 hours of childcare training between the dates of 12/19/21 and 12/19/22.

Corrected Corrected by Jun 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff #1- #6 did not complete the 1 hour training titled Pennsylvania Health and Safety Update 2022 by 12/30/22 as required by Announcement C-22-06. The dates of completion are as follows; staff #1 01/20/23, staff #2 01/16/23, staff #3 01/20/23, staff #4 01/20/23, staff #5 01/18/23, and staff #6 01/16/23.

Corrected Corrected by Apr 4, 2023

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

Corrected Corrected by Jan 17, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

Corrected Corrected by Jan 17, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · All facility staff shall complete a training, conducted in person and in conjunction with the Early Learning Resource Center, regarding supervision of children with an emphasis on times of transition/movement.

* As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

Corrected Corrected by Mar 23, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

As self-reported by the operator, on 1/17/23, at approximately 8:05 AM, Facility Persons #1 and #2 were supervising 6 older toddlers in the Step Up room, when the group left the classroom and exited the building to walk along the sidewalk and into the facility's other (adjacent) building to have breakfast in the kitchen. One of the toddlers in the group, Child #1 was left behind in the classroom. Staff state this was unknown to them until Facility Person #1 was returning to the Step Up room to retrieve a forgotten item and was met by a parent, their child, and Child #1, who the parent says they found alone in the Step Up room. Staff estimate the child was unsupervised by facility staff for approximately 5 minutes.

Corrected Corrected by Jan 17, 2023

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Health and safety professional development training updates required by OCDEL shall be completed within the prescribed timeframe.

The 2022 heath and safety training update was completed after the required due date of 12/30/22 by Facility Person #2 (training date 1/20/23) and Facility Person #3 (training date 1/20/23).

Corrected Corrected by Jan 30, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 had not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/9/17.

Corrected Corrected by Jan 30, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Facility Person #1 haf not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/19/17.

Corrected Corrected by Jan 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the indoor gross motor space, observed the artificial turf located under the trikes has a rolled edge, which poses a tripping hazard.

Corrected Corrected by Jun 30, 2022

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There were teeth marks in several foam blocks observed in the downstairs PreK room.

Corrected Corrected by Jun 30, 2022

Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff persons #2 and #4 contains the results of TB testing dated after staff persons #2 and #4 began in a child care taking position.

Corrected Corrected by Jun 30, 2022

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #1 and staff person #8 contains an expired version of the disclosure statement, making it invalid. The file for staff person #2 contains a disclosure statement dated after staff person #2 began in a child care taking position. The file for staff person #5 and staff person #6 contains an undated disclosure statement. The file for staff person #7 contains an undated and unwitnessed disclosure statement. A review of the file for staff person #7 revealed that staff person #7 has resided out of state in the previous 5 years and lack the required clearances from the state where staff person #7 has previously resided.

Corrected Corrected by Aug 8, 2022

Category: background checks. Marked corrected in the state record.

3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #7, who is identified as performing the role of group supervisor, lacks verification of an associates or bachelor's degree in order to qualify as an assistant group supervisor.

Corrected Corrected by Aug 8, 2022

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the rear preschool group space downstairs, a tube of Tom's toothpaste was observed in a child's backpack hanging on a low hook in the child's cubby, making it accessible to the preschoolers in care at the time of the inspection. The directions included instructions to keep out of the reach of children under 6 year-olds.

Corrected Corrected by Jun 30, 2022

Category: physical safety. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 1:30 pm, staff person #3 was observed in the toddler room with 3 toddlers who were lying on rest equipment. Due to the positioning of the rest equipment and where the staff person was sitting on the floor, one child could not be directly supervised as they were lying behind furniture. During nap time between approximately 1:35 pm and 1:55 pm, the following was observed in the downstairs classrooms: In the Pre-K room, staff person #5 was observed with 8 preschoolers who were lying on rest equipment. Due to the positioning of the rest equipment and where the staff person was standing, at least one child could not be supervised directly, as they were lying behind furniture. In the front Preschool room, staff person #10 was observed with 9 preschoolers who were lying on rest equipment. Due to (or because of) the positioning of the rest equipment and where the staff person was standing, at least one child could not be supervised directly, as they were lying behind furniture. In the rear Preschool room, staff person #11 was observed with 6 preschoolers who were lying on rest equipment. Due to (or because of) the positioning of the rest equipment and where the staff person was standing, at least one child could not be supervised directly, as they were lying behind furniture.

Corrected Corrected by Aug 17, 2022

Category: supervision. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #1 lacks the enrolling parent's work address.

Corrected Corrected by Aug 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

The most recent health report on file for child #3 is dated more than 6 months ago. Child #3 is a young toddler.

Corrected Corrected by Aug 8, 2022

Category: health medication. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #1, child #2, and child #3 contain verification of immunization records dated more than 60 days after child #1, child #2, and child #3 first day of attendance.

Corrected Corrected by Jun 30, 2022

Category: health medication. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #2 lacks verification of a current Pneumococcal vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current Hepatitis B, Rotavirus, DTAP, HIB, Pneumococcal, Polio, Influenza, MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 8, 2022

Category: health medication. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The initial health assessment on file for staff person #2 is dated after staff person #2 began in a child care taking position. The two most recent health assessments on file for staff person #3 are dated in an interval which exceeds 24 months.

Corrected Corrected by Jun 30, 2022

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

In the rear preschool group space downstairs, there was a Gogurt observed in a brown lunch bag in a child's backpack. The directions included instructions to keep the item refrigerated.

Corrected Corrected by Jun 30, 2022

Category: nutrition. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #1, child #2, and child #3 contain verification of initial health reports dated more than 90 days after child #1, child #2 and child #3's first day of attendance at the facility. Due to the COVID-19 emergency declaration, the initial health report requirement was extended from 60 to 90 days.

Corrected Corrected by Jun 30, 2022

Category: ratio. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 12:12 pm, observed staff person #1 supervising a group of children which consisted of 4 older toddlers and 3 younger toddlers in the toddler room.

Corrected Corrected by Jul 31, 2022

Category: supervision. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

On 4/20/22, a review of the fire detection system testing log revealed that the most recent testing occurred on 3/18/22.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.